Organization Active NPI

United Healthcare Distributors

  • Durable Medical Equipment & Medical Supplies
  • Lomita, CA
National Provider Identifier
1093875395
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
UNITED HEALTHCARE DISTRIBUTORS
Practice address
25835 Narbonne Ave
Suite 140
Lomita, CA 90717-3074
Phone
(310) 326-0013
Fax
(310) 326-0014
NPI assigned
Dec 10, 2006
Last updated
Mar 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Remedios G Blanco
Title
Owner
Phone
(310) 326-0013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

25835 Narbonne Ave
Suite 140
Lomita, CA 90717-3074

Mailing address

25835 Narbonne Ave
Suite 140
Lomita, CA 90717-3074
Phone (310) 326-0013

Other identifiers 1

IdentifierTypeStateIssuer
45966OtherCAHOME MEDICAL EQPT LICENSE

National Provider Directory

National Provider Directory

Locations

25835 Narbonne Ave
Ste 140
Lomita, CA 90717
Phone (310) 326-0013

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1093875395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25835 NARBONNE AVE",
            "address_2": "SUITE 140",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907173074",
            "telephone_number": "310-326-0013",
            "fax_number": "310-326-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25835 NARBONNE AVE",
            "address_2": "SUITE 140",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907173074",
            "telephone_number": "310-326-0013",
            "fax_number": "310-326-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HEALTHCARE DISTRIBUTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-10",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "REMEDIOS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-326-0013"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME MEDICAL EQPT LICENSE",
            "identifier": "45966",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lomita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.